Dear Dr. Towfigh,

Thank you for asking if I had any luck with a diagnosis.
I have not received an answer to what is causing my symptoms.

I had a CT Scan and a MRI (both with Valsalva)
Neither of these tests showed a hernia

My GP also ordered an MRI for my Lumbar Spine to check if my symptoms were referred pain.
I am not sure if any of the below findings can contribute to the pain /discomfort I am having.

EXAMINATION: MR LUMBAR SPINE WITHOUT CONTRAST CPT CODE(S): 72148
IMPRESSION:
1. Bilateral L5 pars defects result in grade I anterolisthesis at L5-S1.
Disc bulge contributes to right greater than left lateral recess and neural foraminal narrowing or stenosis without focal herniation or impingement.
2. Disc bulge at L4-5 without focal herniation or definite impingement. 

3. Mild osseous degenerative change and mild scoliosis without acute osseous abnormality.

I also know from reading the general surgery news article
that only 33% of occult hernias are detected by an MRI.

I was not sure if it is appropriate to attach the MRI imaging on this forum.
If it is, I could attach my results.

What would you advise me to do next? My symptoms continue.
Thank you for following up with me I truly appreciate this forum and the your expertise.